Provider Demographics
NPI:1720293665
Name:UNIVERSITY HEALTH SERVICES-FLORIDA INTERNATIONAL UNIVERSITY-BBC
Entity Type:Organization
Organization Name:UNIVERSITY HEALTH SERVICES-FLORIDA INTERNATIONAL UNIVERSITY-BBC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR, HEALTH ADMINISTRATION
Authorized Official - Prefix:MRS
Authorized Official - First Name:ELVIRA
Authorized Official - Middle Name:
Authorized Official - Last Name:VELEZ
Authorized Official - Suffix:
Authorized Official - Credentials:NURSE PRACTITIONER
Authorized Official - Phone:305-919-5620
Mailing Address - Street 1:3000 NE 151ST ST
Mailing Address - Street 2:
Mailing Address - City:NORTH MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33181-3605
Mailing Address - Country:US
Mailing Address - Phone:305-919-5620
Mailing Address - Fax:305-919-5314
Practice Address - Street 1:3000 NE 151 STREET
Practice Address - Street 2:
Practice Address - City:N. MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33181-3605
Practice Address - Country:US
Practice Address - Phone:305-919-5620
Practice Address - Fax:305-919-5314
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-14
Last Update Date:2008-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL521209127261QS1000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS1000XAmbulatory Health Care FacilitiesClinic/CenterStudent Health